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Characterizing the Microvascular Branching Geometry of the Dual Blood Supply to the Liver with Micro-CT.

机译:用Micro-CT表征肝脏双重供血的微血管分支几何结构。

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摘要

Microvascular branching geometries determine the efficacy of the transport of nutrients and metabolic products to and from tissues in large-bodied organisms. The general 'plan' is that an artery supplies oxygen, nutrients, and hormones to the tissue and a vein removes metabolic products from that tissue. The blood flow to the organ is controlled by the metabolic demand of the organ by a feedback mechanism controlling the arterial lumen diameter. The liver differs from other organs by having two vascular systems delivering its blood - the hepatic artery and the portal vein. The hepatic artery supplies the oxygen needed by liver cells, and the portal vein delivers the molecules absorbed by the gut which need to be processed by the liver tissue for use by other organs in the body. However, how the hepatic artery and portal vein interact is not fully understood in terms of how their relative flows are adjusted, either passively and/or actively, to meet the needs of the liver tissue. This dissertation explores the hypothesis that the hepatic artery's blood mixes with the portal vein's proximal to the hepatic sinusoids (where their mixing is traditionally thought to occur). This is performed utilizing micro-CT to image rat liver lobes injected with a contrast polymer. During the process of exploring this hypothesis, a number of image analysis tools needed to be developed. For one, understanding the level of accuracy by which geometrical measurements can be made by micro-CT is very important because vascular resistance to flow is proportional to the interbranch segment length, as well as inversely proportional to the fourth power of the lumen diameter. Moreover, a single vessel tree contained in a micro-CT image has hundreds, if not thousands of individual interbranch segments and knowledge of the interconnectivity relationship between the segments is important for modeling such properties as pressure distributions and relative blood flow rates. For these reasons, the development of automated measurement methods to measure the length and diameter of interbranch segments and extract the hierarchical structure of vascular trees was performed. These methods were then compared to a gold-standard measurement (obtained by measuring the lengths and diameters of interbranch segments of a microvascular cast by 'hand' under a microscope) to understand the level of accuracy obtainable by micro-CT. Having successfully developed accurate automated measurement algorithms (thereby replacing the time-consuming gold standard measurement method), the algorithms were then used to compare and validate other algorithmic approaches, particularly those that quickly extract geometrical information regarding a vascular bed composed of many vessel trees within a micro-CT image. Because the hepatic artery and portal vein are in close proximity to one another as they distribute throughout the liver, the development of a special segmentation method was needed to allow separation of these concomitant vessel systems that may have 'false' connections resulting from blurring of the micro-CT image. Finally, an anatomic study of the vasculature of the liver was performed which offered insight into the interaction between the hepatic artery and portal vein. In the case of specimens where only the portal vein was injected with contrast, only the portal vein was opacified, whereas in hepatic artery injections, both the hepatic artery and portal vein were opacified. Also, when different contrast agents were injected into the hepatic artery and the portal vein, the hepatic artery's contrast agent was observed to be mixed in with the different contrast injected into the portal vein. In addition, in high-resolution scans (5
机译:微血管分支的几何形状决定了在大生物体中营养物质和代谢产物进出组织的运输效率。一般的“计划”是,动脉向组织提供氧气,营养和激素,而静脉则从组织中清除代谢产物。通过控制动脉管腔直径的反馈机制,通过器官的代谢需求来控制流向器官的血液。肝脏与其他器官的不同之处在于,它具有两个输送血液的血管系统-肝动脉和门静脉。肝动脉提供肝细胞所需的氧气,门静脉则输送被肠吸收的分子,这些分子需要由肝组织处理以供身体其他器官使用。然而,就如何相对或被动地和/或主动地调节其相对流量以满足肝脏组织的需要,还没有完全了解肝动脉和门静脉如何相互作用。本文探讨了以下假设:肝动脉的血液与肝窦的近端门静脉混合(传统上认为混合发生)。这是利用micro-CT进行的,以对注射有对比剂聚合物的大鼠肝叶成像。在探索这一假设的过程中,需要开发许多图像分析工具。一方面,了解通过微CT进行几何测量的精确度非常重要,因为血管的血流阻力与分支间节段的长度成正比,与管腔直径的四次方成反比。此外,包含在微CT图像中的单个血管树具有数百个(如果不是数千个的话)单个分支间段,因此,了解这些段之间的互连关系对于建模诸如压力分布和相对血流速率等特性非常重要。由于这些原因,进行了自动测量方法的开发,以测量分支间段的长度和直径并提取维管树的层次结构。然后将这些方法与金标准测量(通过在显微镜下“用手”测量微血管的分支间节段的长度和直径获得)进行比较,以了解可通过微型CT获得的准确性水平。成功开发了精确的自动测量算法(从而取代了费时的金标准测量方法)后,这些算法便被用于比较和验证其他算法方法,尤其是那些快速提取有关由许多血管树组成的血管床的几何信息的算法微型CT图像。由于肝动脉和门静脉在肝脏中分布时彼此非常接近,因此需要开发一种特殊的分割方法以分离这些伴随的血管系统,这些血管系统可能因“血管”模糊而导致“假”连接。微型CT图像。最后,对肝脏的脉管系统进行了解剖学研究,从而深入了解了肝动脉和门静脉之间的相互作用。在仅对比注射门静脉的标本中,只有门静脉是不透明的,而在肝动脉注射中,肝动脉和门静脉都是不透明的。另外,当将不同的造影剂注射到肝动脉和门静脉中时,观察到肝动脉的造影剂与注射到门静脉的不同造影剂混合。此外,在高分辨率扫描中(5

著录项

  • 作者

    Kline, Timothy Lee.;

  • 作者单位

    University of Minnesota.;

  • 授予单位 University of Minnesota.;
  • 学科 Engineering Biomedical.;Computer Science.;Health Sciences Radiology.
  • 学位 Ph.D.
  • 年度 2013
  • 页码 164 p.
  • 总页数 164
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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